Active NPI
Andrea Stephenson
- Hospitalist Physician
- Columbus, IN
National Provider Identifier
1013418268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 02008433A
- Practice address
- 2400 17TH St
Columbus, IN 47201-5351 - Phone
- (812) 376-5974
- NPI assigned
- Feb 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0102206065 | VA | |
| Pediatrics Physician | 208000000X | 02008433A | IN | |
| Hospitalist Physician | 208M00000X | 02008433A | IN | Primary |
Addresses
Primary practice location
2400 17TH St
Columbus, IN 47201-5351
Mailing address
PO Box 775383
Chicago, IL 60677-5383
Phone (812) 376-5315
Other practice location 1
4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098
Phone (808) 735-9617
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | astephenson60546@edirect.crh.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102206065 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Regional Health Physicians, LLC | Pediatrics | Current | Accepting new patients |
| Columbus Regional Health Physicians, LLC | Current | Accepting new patients |
Locations
2400 17th St
Columbus, IN 47201
Phone (812) 373-3025
Interoperability endpoints
- astephenson60546@edirect.crh.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Columbus, IN
- NPI 1336510098
Pediatrics
-
- Family Medicine Physician
- Columbus, IN
- NPI 1740650225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1013418268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 775383",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606775383",
"telephone_number": "812-376-5315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 17TH ST",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472015351",
"telephone_number": "812-376-5974"
}
],
"practiceLocations": [
{
"address_1": "4430 Missouri Ave",
"address_purpose": "LOCATION",
"city": "Fort Leonard Wood",
"state": "MO",
"postal_code": "654739098",
"country_code": "US",
"telephone_number": "808-735-9617",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEPHENSON",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-23",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0102206065",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "02008433A",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "02008433A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "astephenson60546@edirect.crh.org",
"affiliation": "N",
"endpointDescription": "direct address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "direct address",
"address_1": "2400 17th St",
"city": "Columbus",
"state": "IN",
"country_code": "US",
"postal_code": "472015351",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbus, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.